Menopause Unveiled: Expert Answers to Your Questions | Over 50 & Flourishing
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- Опубликовано: 8 окт 2023
- Dr. Susan is back! In honor of World Menopause Month, we're celebrating by answering YOUR questions. Today we're tackling an array of subjects... breast cancer, estrogen replacement, why some women deal with menopause symptoms and others don't, different ways to take hormones, sleep loss, hysterectomies, and MORE!
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Thank you Dominique for having Dr Susan with you to answer questions ❤️
I am HRT and my quality of life is great, no more vaginal dryness, joint pain, anxiety, hot flashes, libido is great now so no more menopause symptoms ❤❤❤ ❤❤❤❤❤
Thank you for this. I am constantly talking to my friends about educating themselves. SO many women don’t educate OR advocate for themselves. The person that cared the most about you and knows yourself the best is YOU!!
You introduced me to Dr. Susan, for that I am forever grateful. I have been on pellets for two years now and it has been lifechanging. I tell all of my friends about them. Here in the northeast, it was very difficult to find a provider, but I did thanks to the knowledge I gained by listening to Dr. Susan. I feel amazing and my marriage has improved so much. Please continue to educate us regarding pellets and women's health over 50. I would love to hear more from women who are on pellets and if they have experienced any changes and how they manage their doses. Thanks again.
Thank you so❤ much Dominique for this and Dr. Susan for taking the time and giving us the opportunity to ask these very important and valuable questions. Love you two!!
So so very helpful! Thank you Dr. Susan and Dominique!
So informative! Every woman needs this information. Love it when you two get together. Thank you ❤🙌🙏
I had a partial hysterectomy @ 28 (endometriosis) then later had my ovaries removed @ 34 and I was on HRT util I was hit by a near-fatal stroke @ 50 What a great video, thank you both so much.. I really enjoyed watching and listening to two highly itelligent, informative women - able to respond and truthfully answer so many varied questions. Also by openly discussing your own menopause journeys and treatments I believe it must have given the listeners a great deal of comfort and supplied the answers that so many of us women want to hear.(it did this for me) Great Job ladies, well done on subject selection, Dominique - love you and everything you do so much. Keep up this kind of video it was terrific
Great podcast Dominique and Dr. Susan. I've been seeking HRT treatment for about 3 months now. I've had three doctors turn me a away telling me it's dangerous and another telling me to join weight watchers. 😡I know you don't know me but , I am not overweight. This podcast has me fired up to keep seeking the treatment I need. Thank you
Thank you both for doing this! 🎉
Thank you! Timely, Important, Helpful and Informative! Please do more 😊
thank you so much Dr Susan . best questions and helpful to listen to other women .ask and get thoughtful answers and of course without your platform Dominique it would not be. 🙏
Thank you all for sharing your stories. I have recently noticed a few common menopausal symptoms that I am struggling with and will be contacting my doctor soon to discuss this further. Many thanks to Dominique and Dr. Susan for their knowledge and advice on this matter, because it does matter!! I feel like I’m going crazy sometimes but I know I’m not alone!!
Great interview Dominique !!! Thanks for the information from a great guest and doctor....🌞
Thank you for this podcast! It was fantastic!
Thank you Dominic and Dr Susan 🙏 this was so interesting as I'm going through menopause and learnt so much on this segment ❤
Thank you so much for this incredibly helpful information!!
Loved the podcast! As a 67 year old woman who had a complete hysterectomy in 2009, I found a doctor who gave me bioidentical hormones which helped my hot flashes, etc. She took me off those hormones 2 years later telling me that I'd be at risk for breast cancer, blood clots, heart disease, etc. She also said that sooner or later you'll go thru hot flashes....do you want them now or when you're much older? So I went off the hormone treatment. Now, at 67 I've been diagnosed with osteoporosis and feel like I've put myself at risk for heart disease and dementia. Makes me angry that I was misinformed by a medical doctor. I'm now on hormone pellets and have never felt better! It's been more than 10 years since my hormone treatment stopped, is it too late to help prevent bone loss, heart disease and dementia since starting back on hormones?
Such valuable information ladies 🎉 thank you so much!
Great information! Thank you.
I am one of those 10% that never had hot flashes. I’m 64 and don’t have trouble sleeping either. I do take magnesium, vit D K2, B vitamins and eat clean, no soda, very little sugar, and exercise regularly. Weight/strength training, very little cardio. I’m also spend a lot of time outdoors and don’t have any negative people in my life😉. Great video ladies!
I believe in direct correlation with stress
My lifestyle and supplement regimen is the same, and I'm almost 51. No symptoms, except for occasional very light periods and some hot flashes that are triggered by activity (and aren't really disruptive). Of course, that could change as I get closer to menopause, but I'm hopeful. Sleeping well and lots of energy. No alcohol, little processed sugar or gluten. I honestly think a consistently healthy routine for years is your best bet for happy aging overall.
Yohr last sentence is the key to hapiness... no negative people... i wish and pray for it every day
Did you have hrt
@@starrsteele1340 No, nothing other than the supplements I mentioned. I just added a good fish oil & Ashwagandha.
Yes agree 1000% the questions were some of mine..Sooo helpful ..TY!!!
Love Love this podcast! I also noticed you changed the setting :) Very nice. Thanks Ladies, including Courtney behind the scenes XOXO
Such a great info packed video. Now to get my male GP to listen be receptive!! I heard the “well your almost fifty, to now “ well your over 50”. It’s like being ignored. To me it was simple ask, labs to see where my levels where. Why, sleep issues, brain fog, moodiness effecting my happy. I’m going to approach it again!! Thank you Dominique and Dr. Susan.
Very informative. Thank you❤
Very informative information
Thanks ladies
Thank you such good advice ❤
Thank you❤️❤️❤️
You are so elegant Dominique 🦋
Great podcast. I am 54 and Doctor Susan has really inspired me to fight for myself when I go to the doctor. I have a blood condition that caused a blood clot in my 30s that had nothing to do with Estrogen but my doctors do not want to give it to me even though I take medication to prevent blood clots. I am not giving up though.
This was such a great podcast. The question about stopping HRT is going to come up in my annual physical next month with my GP. If I don’t get the answer I want I’ll be finding a menopause specialist. I appreciate the reinforcement on what I already believed and the medical facts so I can have them at the ready. 💯💯⭐️⭐️⭐️⭐️⭐️
I’m 54 and in 2020 went through chemo/ radiation for breast cancer. It’s a hard decision when it comes to whether to go on instructions from oncologist of taking cancer med (estrogen blocker) or HRT when there’s so much info now showing that the benefits far outweigh the old stigma that associate it with causing breast cancer. I love these episodes.
The only way I managed to get rid of my belly fat was to go on looong daily walks!
Nothing else worked for me but some 2 to 3 hours of walking in nature!
Hello and good morning. First of all thank you for such an insightful podcast. Very informative
I would like to find out a bit more in-depth about the pro and cons of the different HRT treatments. I’m on pellets but lately I been hearing that is the worst HRT form. Is this correct? Thank you both for the time provided Wonderful podcast! 😊
So I took your advice on the womaness let’s neck … I got it and tried it and yes, it’s lovely … Ty for this great recommendation😊
Great info, what credentials should I look for when seeking out a menopause specialist?
This podcast, its host and guests are such a blessing. The knowledge being shared on women’s issue after 50 is priceless. Thank you to all involved to make this podcast happen. 🥰
Any talks on relationships after menopause how we change thx cheers
So very informative thank you. I had thyroid cancer, had my thyroid removed. I had breast cancer also BRCA2, I’ve had ovaries removed, double mastectomy, and at 57 I am taking estradiol transvaginally. I wish I had the opportunity to call and ask a question I would love to know the mental health impact of hormonal imbalance as it relates to depression. Im sure there’s a correlation I just wish my doctor would help me balance hormones and not always want me to go on SSRI s I believe there is a great need for many but I don’t do well on those meds. I want to start upstream and have a Dr tell me it’s ok with BRCA and past breast cancer that I can take PR and ER and even testosterone.
Blessing to all
Thanks to both of you ladies for your expertise and guidance on this thorny subject. HRT changed my life so much for the better. I hope this podcast helps educate others and steer them to healthier and happier lives. Very much appreciated.
❤thank you !
What are the side effects of HRT…besides breast cancer risk?
This is marvelous, thank you so very much... !
Love this one. Does Gabor have a colour that resembles Raquel Welch golden russet please?
Great video and informative
LOVE DR. SUSAN !
And Dominique, of course! 🥰
Thank you ! Susan
Thank you again Dominique for another great topic. Dr. Susan mentioned that she wears an Oura ring for sleep. Is it possible to get the name and where she purchased this.
Looks great. A little pricey though…
This was so interesting and helpful. Tha k you ladies so much. Please continue this conversation.
What dosage of magnesium to regularize the sleeping cycle? Even if it is not related to menopause, but probably anxiety…..even though I follow a healthy lifestyle with nutrition and exercise ? Thank you❤❤❤
There are a lot of different types of magnesium that have different effects so the dosing is different for each
The product I take for sleep is called neuroMag by designs for health- it's mag threonate (not mag citrate that would be used to speed up bowel function , for example).
The dose is 3 capsules a night - each has around 150 mg . I also take one of their products called insomnitol (includes 5HTP and melatonin)
You refer to the twice-weekly patch being the way to go. I'm on the .05% estradiol WEEKLY patch. Is it inferior?
Great information, thank you. Dominique, your hair is beautiful 🥰
She has a beautiful face too.
Can you talk about plant based hormone replacement, or is Estodiol better?
Estradiol is bioidentical and comes from a plant source so it is actually plant-based
I’m 55 and just had a hysterectomy. Excited to watch. Post procedure I’ve stopped progesterone and testosterone. My MD mentioned testosterone can cause hair loss and hair growth both in places we don’t want. Now I’m wondering if I should go back on it for the positive effects mentioned?
STOP WITH THE DRUGS!!! GID MADE US TO NATURALLY GO THRU CHANGES!!!
Regards to the previous comment- These are not drugs, but hormones we make in our body ! And testosterone doesn't cause any adverse symptoms if it's dosed correctly in the level that's appropriate for a female -remember we've had it all of our lives !
Would love to know the details on the Intra-Rosa (not sure the spelling is correct) vaginal suppository. I currently use a different vaginal suppository for vaginal estrogen but think this could be a better option. Would love the details to ask my doc to make the switch for me. Thank you!
I'm finding all of the information valuable. Would you consider doing a podcast on the positive aspects of getting older. Maybe a 101 reason to enjoy/ love being a mature woman. If you have already covered this I apologize. I haven't listened to all of the podcasts yet. Thank you for all of the work that you put into each video and podcast❤
You're exactly right there are so many fantastic things about being in Midlife. It really is the best time of life!
You look so much younger!! Did you do something? Please share!! Thank you in advance!
40:00 such good advices for my next doctor‘s appointment.
What should I do my primary has told me my estradiol patch is on the black box list and I am to wean off. I’m going to .25 for 3 months and then no more. (Just turned 56 and have been on patch since 2019, had total hysterectomy due to endometriosis in 2017)
Anybody have any suggestions or thoughts on this 😮?
Is .0375 usually high enough for menopause symptoms and is 100 mg more common or is 200mg for progesterone?
Great show🎉
Thank you Dominique for this video
🌺🌺🌺
Great!!!
Very informative thanks so much for this interview
Oh I wish I had met a doctor like Dr.Susan when I was 50. Thank you for this podcast!❤
Hello, I so appreciate this episode, but unfortunately, whenever I try to suggest a more expansive panel, my request is dismissed. I’m then told that my insurance won’t cover it and even if I offer to pay, it’s dismissed. So I don’t know how to navigate that situation with my doctor.
Depending on your state - you can order your own blood tests at a very discounted rate directly with certain laboratories or providers like Thorne Research amongst others. I would research this. Very often - costs to insurance companies are overly inflated but the willingness to self pay opens up much lower rates. Consult your doctor and if not available to you - please research options within your state to self purchase these tests.
That's right -actually the cash price for the full hormone tests including everything that I mentioned in our office is only about $200 which is less than most people would pay with insurance
Cash prices are often quite affordable
Thank you so much! I had no idea that was even an option that would be considered and accepted. Thank you!!
Please Help Me...A Canadian from Ontario needs help finding someone who will do the testosterone pellet every 3 months. Sharon
Love this, thank you
I’m 73 with insomnia. Do you think I should check my hormones? Or at my age is not longer necessary?
😂😂😂😂😂😂😂😂
I agree with above comment about trying magnesium. I would also explore herbs such as passionflower and skullcap. Make an infusion (strong tea). Acupuncture can also help, and the Chinese herb zizyphus is very good (it is blended with other herbs in sleep formulas). A melatonin supplement is another option. There are good natural remedies I would try before asking for a medical doctor's help. I would see a naturopath first. Just my opinion... steer clear of anything pharmaceutical. Take care. ❤
I'm 74, and it's the best thing I've done for my health: brain, heart,muscles...check the studies..Dr. Susan has wonderful factual studies of this and where to find them....and talk about energy!!! 😊
Definitely check out your hormone levels
Can you swim everyday in summer with estrogen patch onor do you need to cover it with a waterproof bandage
I’ve gone to the beach and swam with my patch on several times. It’s always stayed on.
I am a triathlete and used to swim for an hour a day with a patch, and it very rarely came off! Susan
Is 63 to old to try hormone replacement, also can you take hormone replacement if you are a smoker.
Thank you
I would ask your doctor and would try to get a second opinion. If I heard it right in this podcast, it seems that for smokers there is some risk.
Thank You ❤️🤗
It's interesting to hear about the outcomes of studies. But l do like to know who was involved in funding the study, and was there a conflict of interest of any kind? Studies can be biased. I'm not suggesting any studies cited here were biased, but it's something to keep in mind when making health related decisions... due diligence.
The WHI study we were mentioning was funded by the government- National Institute of health - so was very clear to be free of conflicts!
@@drsusanWith all due respect, if a study is government-funded then it's industry-funded. The US medical establishment is corrupt to the core.
Agreed- but much better than studies funded by drug companies, so no problem as these big studies cost a lot of money and the only people who can find them generally are either the government that would be the NIH or drug companies. And no argument here that was a terrible study!! And in general, I understood to be one of the worst studies ever done for women's health!
Thank you ladies! Great information!
Enlightening discussion …. Thank you for answering all the questions we ponder 🙏🙏🙏
She is amazing! I wish she were located in Minneapolis.
Come visit me in Houston !
@@drsusan do you do virtual visits?
@@juliepelischek2349I had the same question.
Does anyone know what’s the appropriate dose of testosterone for women?
❤❤
my hrt doc makes me wait 3 months before checking me
incontinence and tinnittus are the worst symptoms of menopause, especially incontinence though.
I have been taking oral Estradiol for about 20 years since my hysterectomy at 36 years of age… I feel good on it!! Had tried the patch but would get migraines every time I changed it so I went on the oral tablets. My concern is should I be taking asa or fish oil to help with the blood clotting factor? Or the risk of blood clots happen when first taking it.? Does the risk increase of blood clots as you age? Are the patches different now days vs the patch 20 years ago? Anyone have any insight on this !! Thank you!!
I'd like to know more about the patches too. I recently switched to them from oral estradiol because my triglycerides were going up.
I’ve heard there are fewer risks associated with HRT patches as opposed to tablets.
@@rosej9686 i recently decreased my daily dose of oral estradiol due to high triglycerides. I have not had my blood tested but will soon. I am interested in the patch but afraid I will have the same reaction with the migraines.
@@mrsbluesky9750 I have read that as well.
@@Hibernia2324 I do not have any of those you mentioned.. but I had a brother you passed from a severe stroke.
I’m 65 and a 13 year breast cancer survivor. I always was told I can’t do hormone replacement, I don’t really have hot flashes anymore but I have no sexual desire and I can’t sleep well. I just wish we had a doctor like Susan here in Reno that could help me ! Love watching your podcast , you are an inspiration to a lot of woman!❤
You can always come and visit me in Houston. I would love to see you.
!
I wish I could Dr Susan! 😊. Thank you so much for replying.
🥰
Isn’t the estradiol patch synthetic not bio-identical? I’m on both the estradiol bio-identical cream, testosterone cream and the progesterone cream. I’m 66 and can’t seem to lose weight. I lift weights 3x a week and bike 6 miles 2 days a week. Do you think these hormones are keeping me from losing weight?
The estradiol patch releases plant-based, bio-identical estradiol through your skin and into your bloodstream. I use the Vivelle Dot estradiol patch. It’s small & clear. I change it 2x week. There may be residue on your skin when you remove the patch. A cotton round & some micellar water or witch hazel will remove the residue from the patch in a gentle way. FYI- I’m not a Dr. Wishing you the best.
Anything that is called estradiol is bioidentical and plant-based, including the patch
I’m no expert but it seems to me that if it comes in a package it’s synthetic. The term bio identical is stretched for marketing purposes. Maybe soy/yams were involved in the manufacturing process but the only bio identical hormone is what’s inside your body. They should probably call it bio similar. Maybe. Watch out for that long list of side effects listed on the package insert. My 2 cents anyway.
@@LilyB-vz8lq A proportion of the products on the market for HRT are body identical and use a type of oestrogen called estradiol. This is mainly derived from plant sources, including yams. These products use hormones which are identical to those produced by the body. Bioidentical hormones are made from plant sources; synthetic hormones are made from man-made chemical compounds. I’m not a Dr or an expert but this info is on many reputable sites & this is what Dr. Susan is saying & she is a Dr. & an expert. I hope the doctors info is helpful to you. It can get confusing. Wishing you the best.
I can’t wait to hear this video. I’m 51, almost 52 and I’m still getting light periods. I’m waiting for menopause to kick in but seems weird to still be getting light menstrual cycles.
Yes, perimenopause is definitely characterized by all kinds of weird ups and downs in your cycle!! Susan
I Wonder if you can restart hormon treatment when you have been without for a while?
I would seek natural remedies such as herbs rather than anything from a pharmacy.
@@liana2136 I dont think that will help with the problems. The patches I used before was great, but are no longer available on any pharmacys in my country.
@@UllibullizzGod's medicine (natural plant material that has not been altered or synthesized in a laboratory) is quite powerful, but because there is no profit in it, it gets downplayed.
You certainly can restart hormones depending on your specific situation. Many patients are off them for a while and start back on them again, but it depends on your particular Health profile. I would love to see you and Houston and talk to you about it or we also do telemedicine for patients who live in Texas.
@@drsusan It was not clear to me given the nature of the question asked about HRT and breast cancer. If one is actually diagnosed with estrogen-dependent BC, are you saying HRT may be an option? Thank you!
Oh how I wish I could find a physician just like you Dr. Susan. Excellent discussion. Thank you 🙂
Come see me and Houston we would love to meet you!
@@drsusan Sadly I live in Wisconsin.
Don't we all
I take estradiol one milligram with progesterone .5. Would using the estrogen, patch or cream have the same positive side effects as the oral pill? Thank you so much for passing along such important information, great video!
Transdermal estrogen is safer, but if you don't have access to it, I would certainly stay with what you are on!
Dominique, please have Karen Martel from British Columbia on your podcast. She is so knowledgeable and up to date on the latest studies and information on women's health, especially over the age of 50. She is awesome! I don't agree with everything Dr Susan was saying and I think she needs to do a little more research about the most up to date information. Thank you!
Really had hoped the importance of estrogen replacement therapy had been discussed with this vital information:
If you have your uterus, you need to take estrogen AND progesterone.
Estrogen alone will potentially increase your risk of endometrial cancer.
If no uterus- estrogen alone is 👍🏻.
Very true! My mother ended up with uterine cancer because of her misinformed doctor only gave her estrogen.
That is correct and actually a lot of patients benefit from progesterone, even if they don't have a uterus because- it helps so much with sleep!
I’ve put on 35kg since menopause and doesn’t matter what I do or eat my weight won’t budge 😢😢😢😢😢😢
Love your videos. Glad you're doing well... Have to say though your hair looks a bit fried blonde. You look so much better with darker hair. This color washes you out. Sorry to be so blunt but you should know.
💗🎗
Can you share your thoughts to those of us who are 46?!? I’ve gone from working out all the time about a year ago to having no energy, lack of motivation and translating an activity which I enjoyed so much before to now becoming a chore. I don’t know if my sudden lack of sleep has to do with early signs of menopause (peri menopause)? Or just your typical stress that comes from work and life 🙄🙄🙄I’ve also been feeling off and my mind goes into overdrive waaay more than before!!!! My periods have become way shorter also. Overall, I’ve noticed differences with my body that I can’t explain…. Maybe they’re early signs of menopause?!? 🤷🏻♀️🤷🏻♀️ I’m not taking any medications since these changes are new and recent - However, I will start taking Magnesium in hopes it helps with whatever is going with my body!!!
Your input is truly appreciated ❤❤
Definitely would be a great time to have your hormones checked and the panel that I mentioned in this interview since it sounds like you are entering perimenopause and there are so many unpleasant side effects that can be addressed!
Girl, you are in the throws of perimenopause! You sound exactly how I was at your age! I found a functional med doc who tested all of my hormones and blood work. I am still in perimenopause at 51 w all of your symptoms still! I take progesterone (mine is low the week before my period), I take DIM to lower my estrogen (my estrogen is high compared to my progesterone), and I take a little bit of a testosterone cream (mine is very low) to help w my energy. You do not need to feel as bad as you do! You can get HRT during perimenopause!!! Do it! I feel so much better than when I was 46!
@@drsusan thank you so much!!! I will be reaching out to your office!!!
@@leigha1306 thank you so much for your input!!! This evening I definitely went hard at the gym as I don’t want to let this new phase of my life stress me out!!! Will look into your suggestions as well ♥️♥️♥️
I will be very specific with my question: does HRT affect those women with Estrogen-receptor cancer? Also, Susan mentioned the importance of timely mammograms to prevent breast cancer but there are a few of us who had the mammograms (I had one in April 2005- categorized as a young patient) but ended up with stage III breast cancer (diagnosed October 2005). I think that being diligent with your mammograms and self-assessments is not enough. If you can find a silver lining, I was pushed into automatic menopause due to chemo but did not even know I was “officially” in menopause: no symptoms or discomfort or changes in mental function whatsoever. My gynecologist had to order a blood test to determine that I was, in fact, in menopause. The reason I did not know about this transition is that I had been using an IUD prior to this odyssey so I had not had a visible period in years.
Congratulations on being a breast cancer survivor and absolutely with a stage three estrogen,receptor positive breast cancer we would be looking for other options and one of those certainly could be testosterone with an estrogen blocker. If you look at the Research from Dr. Rebecca Glaser online you will see that she is pioneered most of this research for her own breast cancer patients. So there is still help available even for breast cancer patients and lots of things we can do to help you to feel better, but I would definitely investigate testosterone.used with an estrogen blocker and you don't have to worry about the common complaint that oncologist have, which is that some testosterone does aromatize into estradiol, but that can be prevented and Rebecca Glaser's patients had more than 85% reduction in their symptoms so that would be a great resource to investigate! And for vaginal dryness, laser is a fantastic option for breast cancer patients
Thank you for your comment as I recently completed treatment for hormone positive breast cancer and was advised by my oncologists that I must take a hormone blocker, and must not take HRT or use estradiol vaginally. My cancer, while found early with no lymph node involvement, was invasive lobular carcinoma. Guess they’re erring on the side of caution.
@@drsusan I love your answer because it aligns with what I had learned from your participation in this podcast about carefully dosed Testosterone (that fact was no longer under my radar by the end of the podcast), and now I learn that it can be prescribed with estrogen blockers- this is definitely a light in the tunnel that I will research more with my gynecologist and my oncologist. Thank you for taking the time to help me with a lifeline!
Been in menopause since age 42.
I have a question for the future about testosterone, I am 62 and my testosterone is 13 that’s been consistent when it’s taken. I had asked my doctor about some replacement and she said no she didn’t believe in it. I have no idea what is to low? She is retiring so I will be switching. On the other hand she has taught me a lot I didn’t know. This has been so great I love it all. Thank you so much it ‘s so amazing to have women call in with such great questions. 🙏🙏🙏❤️
Why doesn’t my female doctor know all this
Help, please talk about Vaginal dryness…I don’t want to take hormone cream, please give other alternatives that work…please….thank you…
ITS DRY FOR A REASON!!!
@@cathykin514 thank you…
@@chiefswife1212I don’t understand your response to her comment.
@@lezlier.6679I don't either. We all have our beliefs but this is a wonderful podcast as are all of them.
In Dominique’s last Thursday video she mentioned a product for that.
Anyone here take Biote testosterone pellets?
Vaginal laser here I come 😂
No symptoms of menopause…just happened overnight following my sister’s cancer battle. Got it at 44… no hot flashes, no sweats, no major weight gain. But MENOPAUSE at 44….. 😮